Yes No Neck Swallowing intact ❑ ❑ (cont.) Cervical lymph nodes palpable, small, nontender ❑ ❑ Trachea aligned ❑ ❑ Thyroid size normal ❑ ❑ Bruit(s) ❑ ❑ Chest Shape symmetrical ❑ ❑ Tender ❑ ❑ Masses ❑ ❑ Supraclavicular lymph nodes palpable, ❑ ❑ small, nontender (circle) Breasts Shape symmetrical ❑ ❑ Skin smooth, even color ❑ ❑ Rash, lesions ❑ ❑ Discharge ❑ ❑ Lumps ❑ ❑ Masses ❑ ❑ Axilla nodes palpable, small, nontender (circle) ❑ ❑ Lungs Chest expansion symmetrical ❑ ❑ Respirations regular ❑ ❑ Fremitus ❑ ❑ Chest walls nontender ❑ ❑ Breath sounds clear ❑ ❑ Cough (nonproductive, productive) (circle) ❑ ❑ Thorax Contour symmetrical ❑ ❑ Heart Rhythm regular ❑ ❑ Heart sounds (S1S2) ❑ ❑ Murmur ❑ ❑ Upper Extremity Shoulder ROM full bilateral ❑ ❑ Elbow ROM full bilateral ❑ ❑ Wrist ROM full bilateral ❑ ❑ Brachial pulses present ❑ ❑ Radial pulses present ❑ ❑ Phalen’s (right, left) ❑ ❑ Tinel’s sign (right, left) ❑ ❑ 325 Guideline continues on next page